Individual
LACHELE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4110 S 10TH AVE, CALDWELL, ID 83605-5706
(208) 402-1540
Mailing address
2315 N 22ND ST, BOISE, ID 83702-0517
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6885
ID
Other
Enumeration date
08/26/2013
Last updated
10/03/2024
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